Fletcher, Jacob

Fletcher, Jacob is an individual health care provider with primary practice located at 11851 Detroit Ave , Lakewood OH 44107-3016. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fletcher, Jacob can be contacted via phone (215) 529-7125.

Contact Information

Primary practice address
11851 Detroit Ave Lakewood OH 44107-3016
Phone: (215) 529-7125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.145947 Ohio

Profile Details

NPI number 1568997393
LBN Legal business name Fletcher, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2017
Last updated Jun 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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